| NPI | 1831253640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: GA 046797) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: FL ME0084307) |
| 207ZC0500X Pathology, Cytopathology (Licence: GA 046797) | |
| 207ZC0500X Pathology, Cytopathology (Licence: NJ 25MA07712800) | |
| 207ZC0500X Pathology, Cytopathology (Licence: NY 192231) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: FL ME0084307) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: NJ 25MA07712800) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: NY 192231) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 046797) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME0084307) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA07712800) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 192231) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-11-27 |